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Surgical outcome in ACTH secreting microadenoma of Cushings disease- A case report

SENTHIL KUMAR M S SHANMUGAM

Abstract


Abstract- A 31 years old headmistress
presented with headache weight gain ,
increased blood pressure unresponding
to antihypertensive medication and was
referred to the Department of Endocrine
surgery. Clinical examination revealed
puffiness of face and striae of arms and
waist but no truncal obesity. She had
classical biochemical features of ACTH
dependent Cushings disease with partial
cortisol suppression in response to dexamethasone.
Mri revealed a pituitary microadenoma.
The outcome of surgery of
the pituitary micro adenoma is highlighted
in this paper since surgery for microadenoma
is a rarity.


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